Organization Active NPI

Jill Rachele Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1811294671
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JILL RACHELE ENTERPRISES, INC.
Practice address
1235 East Blvd
Suite K
Charlotte, NC 28203-5870
Phone
(704) 335-4070
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Jill Rachele Smith, CPEDNPI 1194035808
Title
Owner/President
Phone
(540) 903-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1235 East Blvd
Suite K
Charlotte, NC 28203-5870

Mailing address

1235 East Blvd
Suite K
Charlotte, NC 28203-5870
Phone (704) 335-4070

Other names 1

  • Foot Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1235 East Blvd
Ste K
Charlotte, NC 28203
Phone (704) 335-4070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1811294671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035870",
            "telephone_number": "704-335-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035870",
            "telephone_number": "704-335-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL RACHELE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RACHELE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-903-2555",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.